Search results for "Surgical"

Die Ileozökalscheide

1987

In 3 patients with vaginal aplasia respectively traumatic vaginal loss a neovagina was created out of the separated ileocecal segment. Advantages of this technique are the excellent blood supply of the ileocecal region and the long vascular pedicle. The additional application of terminal ileum for prolongation of the cecal vaginoplasty allows the tensionless anastomosis between neovagina and vulva even in patients with difficult anatomical conditions. The present paper gives a detailed description of the operative technique and the indications of the ileocecal vaginoplasty. Furthermore the common techniques for vaginal replacement are reviewed and discussed.

Resection of esophageal diverticulum through uniportal video-assisted thoracoscopic surgery

2018

Open surgery remains the standard strategy for management of esophageal diverticulum in symptomatic patients. However, in the last years an increasing number of minimally invasive approaches have been proposed for this issue in order to reduce the surgical trauma and favor a fast return to daily activity. Herein, we describe a novel technique as uniportal video-assisted thoracoscopic surgery (VATS) for performing resection of esophageal diverticulum. This procedure was successfully carried out in three consecutive patients with giant mid-esophageal diverticulum (mean size: 6.5±0.5 cm). The mean post-operative time was 121±10 minutes. The chest drain was removed 48 hours later in all cases a…

2014

It has been claimed that endoscopic calcaneoplasty offers some advantages over open techniques in the surgical treatment of Haglund’s deformity due to reduced postoperative complications like stiffness and pain. Bony over-resection places patients at risk of these complications. The resulting question with regard to the quantitative differences of the extent of the bone removed using these two techniques has not yet been answered. The purpose of the study was to determine the resection volume of calcaneal bone for open and endoscopic surgical techniques.

Surgical Anatomy for Radical Prostatectomy

2007

Exact neuroanatomical knowledge of the male and female pelvis has become increasingly important to both anatomists and pelvic surgeons (bowel surgery, urology, gynaecology). Anatomical discoveries are often the basis for the development of new operating methods. In addition, functional results after operative procedures have become the target of detailed anatomical scrutiny.

Technical advances in radical retropubic prostatectomy techniques for avoiding complications. Part I: apical dissection

2003

Radical retropubic prostatectomy is currently the most widely used surgical treatment for localized prostate cancer. This once cumbersome procedure has developed technically over the last 20 years, reducing dramatically the associated complications and morbidity, e.g. blood loss, incontinence and impotence. Currently the operation is safe and is the best choice for eradicating localized disease, with little loss in quality of life. However, differences in reported outcomes indicate that there is still a need for standardization and continued efforts for surgical excellence. This review focuses on the crucial steps of the procedure, in two parts: the first covers apical dissection and the se…

Editorial Comment to Predictors for positive surgical margins after robot-assisted radical prostatectomy: A single surgeon's series in Japan

2013

Diagnostic and clinical procedures of a patient with oral-facial-digital type II syndrome: a case report

2011

The oral-facial-digital syndromes (OFD) are part of a great number of genetic disorders. They are classified in categories based on characteristic abnormalities, including OFD type I (Papillon-Leage and Psaume syndrome) and OFD type II (Mohr syndrome). The aim of this article is to describe a clinical case of a patient with oral- facial-digital type II syndrome or Mohr syndrome, who underwent surgery for supernumerary teeth removal under endovenous sedation. Moreover, it is intended to discuss the importance of diagnostic and clinical procedures, with proper and concise indications about the limitations of patients with special needs treatment. Due to their clinical and physiological limita…

Risk and Benefit of STA/MCA Anastomoses

1985

The advantage of EC/IC operation has not yet been proved unequivocally enough. We therefore attempted to analyze our cases in order to establish the possible benefit and risk of the operation. We compared the outcome of the operated and nonoperated patients with reference to the literature.

Study of gender differences in VR response following cardiac surgery.

2017

Cardiac and other invasive surgical procedures cause significant anxiety and stress to patients and their family members. In this study Virtual Reality (VR) was used as a method to reduce stress, anxiety and pain in patients undergoing surgical procedures. This study compared a cohort of patients in the interval prior to and successive to the surgery, differentiating the responses achieved by males and females and comparing the effectiveness. The results are encouraging: they demonstrate the efficacy of VR treatment and the safety of the method and detection of differences in the responses based on gender.

Post-cesarean necrotizing fasciitis caused by surgical site infection

2017

Necrotizing fasciitis (NF) is a rare, but rapidly progressive, potentially life-threatening soft tissue infection, with an incidence of 0.15-0.55 cases per 100,000 population. the gynecological-obstetric literature describes cases of NF due to surgical site infection (SSi) after cesarean delivery. this article discusses issues in the medicolegal evaluation of NF and the importance of prophylactic procedures, risk management protocols, and prompt diagnosis of this condition. two cases of post-cesarean NF due to SSi are reported. in both cases the responsibility lay with the hospitals and the medical staff owing to failure to adopt adequate SSi prophylaxis and to establish a timely diagnosis …